Research Question Frameworks & Variables
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Questions and Answers

A healthcare organization is considering implementing a new fall prevention program for elderly patients. How would this translate into the elements of a clinical question?

  • Situation: Intervention: Fall prevention program compared to usual care; Elderly patients; Outcome: Implementation costs
  • Situation: Reduced falls; Intervention: Elderly patients; Outcome: Fall prevention program
  • Situation: Fall prevention program; Intervention: Reduced falls; Outcome: Elderly patients
  • Situation: Elderly patients; Intervention: Fall prevention program; Outcome: Reduced falls (correct)
  • Which is the most appropriate framework to develop a research question exploring the lived experiences of nurses during the COVID-19 pandemic?

  • PILOT
  • PICO
  • PICOT
  • SPIDER (correct)
  • A study aims to evaluate the effectiveness of a new drug ($X$) compared to the standard drug ($Y$) in reducing blood pressure in patients with hypertension over 6 months. Using the PICOT framework, what represents the 'C' element?

  • Patients with hypertension
  • Standard drug $Y$ (correct)
  • Reduction in blood pressure
  • Drug $X$
  • A researcher is planning a qualitative study to understand the experiences of parents who have children with autism spectrum disorder (ASD). Which element does 'Phenomenon of Interest' relate to in the SPIDER framework?

    <p>The population of interest (B)</p> Signup and view all the answers

    Which of the following best describes the relationship between an independent and dependent variable in research?

    <p>Changes in the independent variable (x) are observed to determine their effect on the dependent variable (y). (C)</p> Signup and view all the answers

    In evidence-informed decision making, what is the role of analyzing available information?

    <p>To make informed decisions based on the best available evidence. (C)</p> Signup and view all the answers

    A researcher is evaluating the strength and quality of evidence from multiple studies. Which process is the researcher undertaking?

    <p>Critical appraisal (C)</p> Signup and view all the answers

    A healthcare team wants to implement a new patient care protocol based on research evidence. They decide to prioritize evidence from a meta-analysis. Why is a meta-analysis considered a high level of evidence?

    <p>Meta-analyses synthesize data from multiple studies, providing a more comprehensive and statistically robust conclusion. (A)</p> Signup and view all the answers

    A hospital implements a new hand hygiene protocol and monitors infection rates before and after the intervention. However, there is no control group. What level of evidence does this quality improvement project represent?

    <p>Level 4 (Single nonexperimental) (A)</p> Signup and view all the answers

    A clinician is developing a new program based on expert consensus and personal experience. According to evidence-based practice principles, what level of evidence is this program primarily based on?

    <p>Level 7 (Opinion) (C)</p> Signup and view all the answers

    Which type of literature review is most likely to provide an overview of the current knowledge landscape in a specific field, while also suggesting potential avenues for future research?

    <p>A literature review summarizing existing research. (B)</p> Signup and view all the answers

    A researcher is examining the effects of a new hand-washing technique on reducing hospital-acquired infections. To ensure the most reliable and verifiable evidence, which primary source would be most suitable?

    <p>The original research study detailing the methodology and results. (B)</p> Signup and view all the answers

    A graduate student is compiling information for their thesis but is having issues locating peer-reviewed, published research. Which source would be considered grey literature that might be useful?

    <p>Unpublished research reports from government agencies. (C)</p> Signup and view all the answers

    Why should healthcare professionals approach sources from CINAHL with caution?

    <p>Sources may lack references and verification, potentially affecting reliability. (C)</p> Signup and view all the answers

    A researcher is using CINAHL to find articles about the effectiveness of mindfulness practices on reducing anxiety in nursing students. Which search strategy using Boolean operators would be most effective?

    <p><code>Mindfulness AND Anxiety AND Nursing Students</code> (D)</p> Signup and view all the answers

    A nurse consistently uses their own past interactions with patients to inform their current care decisions. Which type of nursing knowledge is being utilized?

    <p>Experiential Knowledge (D)</p> Signup and view all the answers

    Which paradigm emphasizes the co-creation of knowledge and the existence of multiple truths, moving away from the idea of a single, objective reality?

    <p>Constructivism (C)</p> Signup and view all the answers

    In healthcare research, which approach aligns with identifying social imbalances and empowering marginalized groups, acknowledging the limitations of purely empirical data?

    <p>Critical Theory (C)</p> Signup and view all the answers

    A researcher aims to establish cause-and-effect relationships in a study about the effectiveness of a new medication. Which type of knowledge aligns with this research goal?

    <p>Empirical Knowledge (D)</p> Signup and view all the answers

    A healthcare professional is concerned about the distribution of resources within a hospital system. Which type of perspective would be most helpful in analyzing this issue?

    <p>Sociopolitical Perspective (B)</p> Signup and view all the answers

    When critically appraising a research article, which aspect relates most closely to the clarity and appropriateness of the instruments used to gather numerical information?

    <p>Data Collection &amp; Analysis. (B)</p> Signup and view all the answers

    Which of the following elements is most useful when evaluating the 'Author' aspect during the critical appraisal of a research article?

    <p>The PICOT framework (Population, Intervention, Comparison, Outcome, Time). (A)</p> Signup and view all the answers

    In the context of the Canadian Institute for Health Information (CIHI), how do 'Health promotion & Disease Prevention' initiatives primarily contribute to overall healthcare assessment?

    <p>By improving longer-term health outcomes and reducing the need for intensive care. (D)</p> Signup and view all the answers

    When evaluating the rigor and trustworthiness of a qualitative study, which indicator is typically assessed to ensure the depth and comprehensiveness of the data collected?

    <p>Saturation level. (A)</p> Signup and view all the answers

    Which type of nursing knowledge involves understanding the historical, cultural, and societal factors that influence health and healthcare practices?

    <p>Sociological Knowing. (A)</p> Signup and view all the answers

    In a study examining the effect of a new medication on blood pressure, researchers ensure that all participants have similar lifestyles and pre-existing health conditions. Which element of a quantitative framework does this consideration primarily address?

    <p>Homogeneity (D)</p> Signup and view all the answers

    A researcher is developing a study to explore the lived experiences of nurses during the COVID-19 pandemic, with the framework evolving as data is collected and analyzed. Which type of framework is most aligned with this approach?

    <p>Conceptual Framework (C)</p> Signup and view all the answers

    A study begins with a well-established theory about the relationship between exercise and mental health. The researchers then collect data to test specific hypotheses derived from this theory. Which type of reasoning is being employed?

    <p>Deductive (D)</p> Signup and view all the answers

    Which of the following best describes the role of a theoretical framework in research?

    <p>To describe the theories underpinning the research problem. (A)</p> Signup and view all the answers

    A researcher notices that in every observed instance, students who attend tutoring sessions perform better on exams. Based on these observations the researcher concludes that tutoring improves exam performance. What type of reasoning is demonstrated?

    <p>Inductive (D)</p> Signup and view all the answers

    A researcher aims to study the impact of a new teaching method on student test scores. To ensure internal validity, they control the students' prior academic performance and socioeconomic status. Which element of research design is the researcher primarily addressing?

    <p>Control (A)</p> Signup and view all the answers

    Which of the following strategies is most aligned with enhancing the 'accuracy' of a quantitative research study?

    <p>Implementing rigorous control measures to minimize bias. (A)</p> Signup and view all the answers

    A research team is investigating the effectiveness of a new drug using an experimental design. To what extent does random assignment of participants to treatment groups contribute to the study's validity?

    <p>It reduces selection bias and enhances the internal validity of the study. (B)</p> Signup and view all the answers

    In designing a quantitative study, a researcher decides to use a very specific inclusion criteria for participants to minimize variability within the sample. What consideration is the researcher primarily addressing?

    <p>Homogeneous Sample (C)</p> Signup and view all the answers

    A researcher is planning a study to examine the relationship between exercise and stress levels. They aim to manipulate the exercise variable while ensuring all other factors remain constant for all participants. Which 'element of research design' is this researcher focusing on?

    <p>Role of Investigator (C)</p> Signup and view all the answers

    A researcher is conducting a study on the effectiveness of a new teaching method but notices that students' test scores improve simply because they are becoming more familiar with the test format. Which threat to internal validity is most likely affecting the study?

    <p>Testing (B)</p> Signup and view all the answers

    A researcher aims to study the impact of a new teaching method on student test scores. Due to administrative constraints, they cannot randomly assign students to different classrooms. Which quantitative research design is most appropriate in this scenario?

    <p>Quasi-experimental design (C)</p> Signup and view all the answers

    A longitudinal study examining the effects of exercise on cognitive function loses a significant number of participants over the course of the study due to various reasons such as relocation or loss of interest. This loss of participants introduces which threat to internal validity?

    <p>Mortality/Attrition (B)</p> Signup and view all the answers

    Researchers find that their study on a new therapy shows promising results in a highly controlled laboratory setting. However, when implemented in a real-world clinical setting, the therapy's effectiveness is significantly reduced. Which threat to external validity best explains this discrepancy?

    <p>Reactive effects (A)</p> Signup and view all the answers

    In a study evaluating the effects of a new drug on blood pressure, researchers measure patients' blood pressure before and after the drug administration, without a control group. Which type of quasi-experimental design does this represent?

    <p>One-group pre-post test design (C)</p> Signup and view all the answers

    A healthcare organization is interested in understanding the relationship between nurses' job satisfaction and patient satisfaction scores. The organization collects data on both variables simultaneously. Which non-experimental design is most appropriate?

    <p>Cross-sectional correlational study (B)</p> Signup and view all the answers

    A researcher wants to study the effectiveness of a new drug on a specific population, but struggles to recruit a diverse sample, primarily enrolling participants from a single socioeconomic background. Which threat to external validity is most prominent in this scenario?

    <p>Selection effects (C)</p> Signup and view all the answers

    A study aims to measure the impact of a new educational program on student performance. However, mid-way through the study, a major policy change is implemented in the school district that affects all students. This policy change introduces which threat to internal validity?

    <p>History (A)</p> Signup and view all the answers

    A researcher wants to investigate the accuracy and consistency of a newly developed pain assessment tool across different patient populations. Which non-experimental research approach would be most suitable for this purpose?

    <p>Methodological study (C)</p> Signup and view all the answers

    Researchers are conducting a study to determine the long-term effects of childhood trauma on adult mental health outcomes. They plan to collect data from the same group of participants at multiple time points over a span of 20 years. Which type of non-experimental design are they employing?

    <p>Longitudinal study (A)</p> Signup and view all the answers

    A researcher uses a dataset collected five years ago to investigate the correlation between socioeconomic status and childhood obesity. This type of quantitative study is best described as what?

    <p>Secondary Analysis (D)</p> Signup and view all the answers

    A public health department is tracking the number of new cases of influenza each month to understand the rate at which the illness is spreading in the community. Which epidemiological measure are they primarily focused on?

    <p>Incidence (C)</p> Signup and view all the answers

    Which type of literature review is characterized by its combination of both qualitative and quantitative studies to provide a comprehensive understanding of a phenomenon?

    <p>Integrative Review (B)</p> Signup and view all the answers

    Researchers aim to determine the overall effect of a specific intervention by statistically combining the results of multiple independent studies. Which type of study are the researchers conducting?

    <p>Meta-Analysis (C)</p> Signup and view all the answers

    What is the primary purpose of the Cochrane Collaboration?

    <p>To ensure systematic reviews of healthcare interventions are high-quality and trustworthy. (B)</p> Signup and view all the answers

    Flashcards

    Evidence Informed Decision Making

    Using available evidence to guide choices in care protocols.

    Clinical Question

    A specific query aimed at making immediate care decisions involving situation, intervention, and outcome.

    PILOT

    A framework for conducting quantitative research to gather statistical data.

    SPIDER framework

    A qualitative research tool focusing on population, intervention, comparison, outcome, and time.

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    5 Elements of Research (PICO)

    Key components for structuring research questions: Population, Intervention, Comparison, Outcome, Time.

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    Independent variable

    The variable that is manipulated in an experiment to observe its effect on another variable.

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    Dependent variable

    The variable that is measured in an experiment to see how it is affected by changes in the independent variable.

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    Levels of Evidence

    A hierarchy that ranks the strength and quality of research evidence.

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    Meta-analysis

    A systematic review that combines data from multiple studies to reach a conclusion.

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    Critical Appraisal

    The process of systematically examining research to judge its validity, significance, and relevance.

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    SPIDER

    A method for qualitative research questions: Sample, Phenomenon of interest, Design, Evaluation, Research type.

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    Rigor & Trustworthiness

    Criteria ensuring research is conducted reliably and findings are credible.

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    Canadian Institute for Health Information (CIHI)

    An organization that provides data and analysis on healthcare in Canada.

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    Literature Review

    A summary of existing research that helps understand current knowledge and guides future research.

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    Primary Source

    An original source of information, such as research studies or dissertations.

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    Grey Literature

    Unpublished research such as reports and theses that are not widely disseminated.

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    CINAHL

    A database that provides nursing and allied health literature; lacks peer review and references.

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    PCAS Levels

    Four levels of understanding in the appraisal process: Preliminary, Comprehensive, Analytical, Synthesized.

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    Ways of Knowing

    Different approaches that inform nursing practice: empirical, aesthetic, ethical, experiential, and sociopolitical.

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    Ontology

    The study of existence; answers 'What is it?'.

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    Epistemology

    The study of knowledge; answers 'Why does it exist?'.

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    Positivism

    A paradigm that focuses on observable phenomena; emphasizes empirical data and objective truth.

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    Constructionism

    A belief that knowledge is created through social interactions and experiences; emphasizes multiple perspectives.

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    Ladder of Abstraction

    A model that organizes terms from the most abstract to concrete ideas, helping understand concepts in research.

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    Conceptual Framework

    A guide or road map for research that helps visualize the study and connects ideas to literature.

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    Theoretical Framework

    A foundation that explains the theories behind the research problem and guides study design.

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    Inductive Reasoning

    A reasoning approach that moves from specific observations to broader generalizations, often qualitative.

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    Quantitative Framework

    An organized structure that includes elements like participants and measurements for conducting statistical research.

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    Internal Validity

    The extent to which a study can confirm a cause-effect relationship without interference from other factors.

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    Threats to Internal Validity

    Factors that can compromise the ability to claim cause-effect relationships, including history, maturation, testing, instrumentation, and mortality.

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    External Validity

    The degree to which study findings can be generalized to settings, people, or times beyond the original study.

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    Threats to External Validity

    Factors that limit the generalizability of study findings, including selection effects, reactive effects, and measurement effects.

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    Selection Effects

    A threat to external validity where the sample chosen for a study is not representative of the larger population.

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    Subjective Research

    Explorative research, often qualitative with methods like interviews.

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    Objective Research

    Hypothesis testing research, often quantitative using surveys and experiments.

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    Elements of Research Design

    Key components: Participants, Observations, Time, Selection, Investigator's role.

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    Control in Research

    Managing variables to ensure only the variable of interest affects results.

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    Randomization

    A method used to randomly assign participants to reduce bias.

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    Secondary Analysis

    Analyzes existing data for a new question or purpose.

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    Epidemiological Studies

    Investigate how illnesses relate to environmental factors in populations.

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    Prevalence

    The total number of existing cases of a condition at a specific time.

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    Incidence

    The number of new cases of a condition during a specified period.

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    Cochrane Collaboration

    An organization ensuring high-quality systematic reviews.

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    Experimental/RCT

    A true experimental design involving randomization to identify cause-effect relationships.

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    Quasi-experimental

    A design lacking randomization, often using non-equivalent control groups to evaluate outcomes.

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    Non-experimental design

    A research design used when experimental methods cannot be applied, such as surveys or correlational studies.

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    Correlational study

    Research exploring relationships between variables without implying causation.

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    Survey Studies

    Descriptive research methods used to gather perceptions from a population.

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